Antibiotics has been kept under strict regulation in most of the advanced countries and in many developing countries like Sri Lanka. But in India, there is no regulation on the sale and prescription of antibiotic. Even high end antibiotics like Piperacillin, Tazobactum, Cilastatin, Imipenem are available as Over-the-Counter. Doctors in rural areas are using Cefipime for simple wounds, boils. Newer regimens like Azithromycin-Cefixime are used casually in common cold, diarrhoea... Artemether injection is used as single agent for treatment of P.
falciparum malaria in many parts of the country. Cephalexin, cotrimoxazole are still used in metropolitans of advanced countries. Many of us in India might have never written a prescription with these drugs in our career. Needless to say that drugs procured in most of the States for use in government hospital use are substandard. When I was doing…
